Twenty-five-year-old Freddie Gray lived in Baltimore’s Gilmor Homes, a public housing development in Baltimore’s Sandtown neighborhood and home to more than 500 extremely low-income and racially segregated families. Recent events in Baltimore and beyond have made it painfully clear that young people growing up in places like Gilmor are often living with chronic violence and a level of social isolation that threatens their life chances and silences their collective voice.

Living with chronic violence and social isolation has less visible, but very real psychic costs for children and adults. It means living in a place where everyone has been traumatized by loss and violation. It means you spend every day paranoid. It means you distrust your neighbors and the very people in place to support and protect your safety. It means having to normalize neighborhood disorder in order to cope with decades of neglect.

Like a tape playing on repeat, this burden sends a message to young people especially that their lives, their voices don’t matter.

Three years of experience have taught us that the most important service is clinical mental health support delivered on-site and in people’s homes. With lower caseloads, staff has the time to make sure that both parents and youth get the services and encouragement they need to improve their life chances.

Borrowing from public health approaches, we are working with parents and teens in DC public housing to improve sexual health and safety outcomes for teens. We are also working with youth and service providers in Portland, Oregon to design teen-friendly emergency food access programs.

In both communities, residents and service providers are involved in advisory boards and steering committees to take back their community’s health and access with a sense of pride. The youth are providing direct input into transformative, resident-centered programs that bring attention to their needs and empower their peers to tap into individual, community, and eventually institutional power.

We are piloting and testing these evidence-informed strategies by prioritizing the voices of young people with the hope that they feel ownership over these solutions— and that they will ultimately help improve conditions in their own environments, as well as offer lessons for other socially isolated places.